Individual provider Active NPI

Donna S Sandlin, APRN

  • Nurse Practitioner
  • Manchester, KY
National Provider Identifier
1033159223
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3791P Issued in KY
Practice address
210 Marie Langdon Dr
Manchester, KY 40962-6195
Phone
(606) 598-5104
Fax
(606) 598-0983
NPI assigned
Jun 7, 2006
Last updated
Feb 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1083411 KY
Nurse Practitioner 363L00000X 3791P KY Primary

Addresses

Primary practice location

210 Marie Langdon Dr
Manchester, KY 40962-6195

Mailing address

10 Bentley Rd
London, KY 40744-8849

Other identifiers 5

IdentifierTypeStateIssuer
P00409709OtherKYRAILROAD MEDICARE
000000514608OtherKYBLUE CROSS BLUE SHEILD
000000586717OtherKYBLUE CROSS & BLUE SHIELD
7100014610OtherKYMEDICAID NP GROUP NUMBER
78008273MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000143 KY Practitioner - Nurse Practitioner 0941241715 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1083411KYMDNurse Practitioner
3791PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Ky, LLC CurrentSince Jan 28, 2024 Accepting new patients
Memorial Hospital Inc. CurrentSince Aug 1, 2007 Accepting new patients
Concord Medical Group of Kentucky PLLC Nurse Practitioner CurrentSince Jan 26, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jan 15, 2019 Accepting new patients
Memorial Hospital, Inc. CurrentSince Aug 1, 2007 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner Past Accepting new patients
Emergency Coverage, LLC Nurse Practitioner Past Accepting new patients
Cumberland Clinic, PLLC Nurse Practitioner Past Accepting new patients
Anand PSC Nurse Practitioner Past Accepting new patients
Cumberland Clinic PLLC Nurse Practitioner Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1380 Highway 192 E
London, KY 40741
Phone (606) 330-0050

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

94 Marie Langdon Dr
Ste 1
Manchester, KY 40962
Phone (606) 599-0396

Interoperability endpoints

  • Direct secure messaging: dsandlin542696@adventhealth.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1033159223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BENTLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626195",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "DONNA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1083411",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3791P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00409709",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "000000514608",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000000586717",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NP GROUP NUMBER",
            "identifier": "7100014610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78008273",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.